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Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.

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posted on 22.10.2021, 08:47 by David WhitfordDavid Whitford, Anne HickeyAnne Hickey, Frances HorganFrances Horgan, Bernadette O'Sullivan, Hannah Mc GeeHannah Mc Gee, Desmond O’Neill

 

Background: Stroke is a major cause of mortality and morbidity with potential for improved care and prevention through general practice. A national survey was undertaken to determine current resources and needs for optimal stroke prevention and care.

Methods: Postal survey of random sample of general practitioners undertaken (N = 204; 46% response). Topics included practice organisation, primary prevention, acute management, secondary prevention, long-term care and rehabilitation.

Results: Service organisation for both primary and secondary prevention was poor. Home management of acute stroke patients was used at some stage by 50% of responders, accounting for 7.3% of all stroke patients. Being in a structured cardiovascular management scheme, a training practice, a larger practice, or a practice employing a practice nurse were associated with structures and processes likely to support stroke prevention and care.

Conclusion: General practices were not fulfilling their potential to provide stroke prevention and long-term management. Systems of structured stroke management in general practice are essential to comprehensive national programmes of stroke care.

Funding

Irish Heart Foundation in association with the Department of Health and Children, Republic of Ireland.

History

Comments

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Published Citation

Whitford DL, Hickey A, Horgan F, O'Sullivan B, McGee H, O'Neill D. Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study. BMC Family Practice. 2009 Apr 29;10:27.

Publication Date

29 April 2009

PubMed ID

19402908

Department/Unit

  • Health Psychology
  • RCSI Bahrain
  • School of Physiotherapy

Publisher

Biomed Central

Version

  • Published Version (Version of Record)